DR. Keith Robert Fairall, PHARMD
NPI #1104372572 in Bangor, Pennsylvania
Provider Information
- NPI Number
- 1104372572
- Entity Type
- Individual
- Name
- DR. Keith Robert Fairall, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Aug 26, 2016
- Last Updated
- Aug 26, 2016
Practice Location
- Address
- 525 FOX GAP RD
- City
- Bangor
- State
- Pennsylvania
- ZIP Code
- 18013-5832
- Phone
- (610) 984-7564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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